作者单位：527300云浮市广东省云浮市人民医院耳鼻咽喉科

李灶容：女，大专，主管护师

知信行理论模式在声带息肉术后患者健康教育中应用

李灶容朱琳

摘要目的：探讨知信行理论模式对声带息肉术后患者健康教育的影响。方法：选择我科2014年1~12月在我科住院手术治疗患者78例为研究对象，随机分为观察组40例和对照组38例,对照组采用常规健康教育，观察组运用知信行理论模式进行健康宣教，即进行疾病相关知识教育，健康信念的培养和健康行为的支持，半个月以电话或面谈形式随防评价，对未能达标项目再作评估计划。出院后6个月用自行设计问卷就声带息肉相关知识和自我管理行为情况进行评价，并观察两组患者的复发率。结果：观察组患者疾病知识掌握、生活习惯、用声习惯(用声不当/用声过度)发声训练主动行为高于对照组(P<0.05)。结论：运用知信行理论模式对声带息肉患者进行健康教育，对提高患者对疾病以及相关知识的认知水平，促进培养良好的自我管理行为，提高治疗效果，避免息肉复发，有重要意义。

关键词知信行理论;声带息肉;健康教育;自我管理doi:10.3969/j.issn.1672-9676.2015.08.044

收稿日期：(2015-01-17)

Effect of know-nobuyuki-theoretical model application in health education for patients with vocal cord polyp postoperatively

LI Zao-rong,ZHU Lin(Yunfu People′s Hospital,Yunfu527300)

AbstractObjective:To study the knowledge-nobuyuki-theoretical model of vocal cord polyp in health education for patients with postoperative effect.Methods:Chose January-December 2014 78 cases hospitalized in our department surgery patients were randomly divided into observation group(n=40) and control group(n=38),control group used conventional health education,the observation group received know-nobuyuki-theory model for health education,namely for disease-related knowledge education,support for the cultivation of the health belief and health behavior,half a month by telephone or face-to-face contact with the evaluation,assessing plans for unmet project.6 months after hospital discharge with a self-designed questionnaire was vocal cord polyp related knowledge and self management behavior evaluation,two groups of patients with recurrence rate were observed.Results:Observation group patients disease knowledge,living habits,with sound habits (using improper voice/sound too much) voice training initiative activity were higher than the control group(P<0.05).Conclusion:Known-nobuyuki-theory model applying in vocal cord polyp patients for health education could improve the patient′s disease and related knowledge of cognitive level,promote to develop good self management behavior,improve the effect of treatment to avoid polyp recurrence has important significance.

Key wordsKnow-nobuyuki-theory;Vocal cords polyp;Health education;Self management

声带息肉是耳鼻喉科常见病、多发病，临床复发率较高，是引起嗓音障碍的较常见的原因。手术切除息肉是主要治疗方法，效果虽好，术后若不注重嗓音护理，很容易复发[1]。王小平等[2]认为嗓音疾病患者自我管理可作为嗓音康复的一种较理想的管理模式，能有效促进患者术后嗓音的康复，降低复发率。为此，本研究对声带息肉手术患者应用知、信、行三级目标理论模式进行健康教育，提高声带息肉患者的自我管理行为，减少息肉复发，取得了一定效果，现报道如下。……